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Published on: July 21, 2018
Rerouting the drug response: Overcoming metabolic adaptation in KRAS-mutant cancers
Deborah Y Moss1, Christopher McCann1, Emma M Kerr1
1Patrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT9 7AE Northern Ireland, UK.
Abstract:
Mutations in guanosine triphosphatase KRAS are common in lung, colorectal, and pancreatic cancers. The constitutive activity of mutant KRAS and its downstream signaling pathways induces metabolic rewiring in tumor cells that can promote resistance to existing therapeutics. In this review, we discuss the metabolic pathways that are altered in response to treatment and those that can, in turn, alter treatment efficacy, as well as the role of metabolism in the tumor microenvironment (TME) in dictating the therapeutic response in KRAS-driven cancers. We highlight metabolic targets that may provide clinical opportunities to overcome therapeutic resistance and improve survival in patients with these aggressive cancers.
Insights
Mutant KRAS drives cancer metabolism, leading to treatment resistance. Targeting these metabolic changes in the tumor microenvironment offers new hope for improving survival in KRAS-driven cancers.
Area of Science:
- Oncology
- Cancer Metabolism
- Molecular Biology
Background:
- KRAS mutations are prevalent in lung, colorectal, and pancreatic cancers.
- Constitutively active mutant KRAS promotes metabolic reprogramming in tumor cells.
- This metabolic rewiring contributes to therapeutic resistance.
Purpose of the Study:
- To review metabolic alterations in KRAS-driven cancers.
- To explore how metabolism influences therapeutic response and the tumor microenvironment (TME).
- To identify potential metabolic targets for overcoming treatment resistance.
Main Methods:
- Literature review of metabolic pathways in KRAS-driven cancers.
- Analysis of the interplay between KRAS signaling, metabolism, and the TME.
- Identification of metabolic vulnerabilities and therapeutic targets.
Main Results:
- Mutant KRAS extensively alters cellular metabolism, supporting tumor growth and survival.
- Metabolic pathways are dynamically regulated by cancer treatments, influencing efficacy.
- The TME significantly impacts metabolic dependencies and therapeutic outcomes in KRAS-driven cancers.
Conclusions:
- Metabolic reprogramming is a critical hallmark of KRAS-driven cancers.
- Targeting specific metabolic pathways presents promising strategies to enhance treatment efficacy.
- Interventions aimed at metabolic vulnerabilities could improve patient survival in these aggressive malignancies.
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